Dr JOHN P DEROSA MD is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1992 from State University Of New York At Stony Brook, School Of Medicine.
MAIN STREET RADIOLOGY AT BAYSIDE,LLC
13625 37TH AVE
FLUSHING
NY
113544169
Tel: 7184281500
| Npi | 1124081302 |
| Pac Id | 9436172533 |
| Professional Enrollment Id | I20060104000283 |
| Last Name | DEROSA |
| First Name | JOHN |
| Middle Name | P |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
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| Organization Legal Name | MAIN STREET RADIOLOGY AT BAYSIDE,LLC |
| Group Practice Pac Id | 5395732671 |
| Number Of Group Practice Members | 38 |
| Line 1 Street Address | 13625 37TH AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | FLUSHING |
| State | NY |
| Zip Code | 113544169 |
| Phone Number | 7184281500 |
| Hospital Affiliation Ccn 1 | 330055 |
| Hospital Affiliation Lbn 1 | NEW YORK-PRESBYTERIAN/QUEENS |
| Hospital Affiliation Ccn 2 | 330101 |
| Hospital Affiliation Lbn 2 | NEW YORK-PRESBYTERIAN HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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